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December 9, 2005Catheterization and Cardiovascular InterventionsOpen Access

Staged carotid artery stenting and coronary artery bypass graft surgery: Initial results from a single center

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Why the study?

What is the rate of death, stroke, or myocardial infarction in patients with coexisting carotid and coronary atherosclerosis undergoing planned carotid stenting followed by staged CABG?

Population

23 patients with coexisting carotid and coronary atherosclerotic disease scheduled to undergo staged…

Design

Cohort

Authors

JKJason C. KovacicInterventional CardiologyPRP. RoyConcord Repatriation General HospitalDBDavid W. BaronSt. Vincent's Birmingham

Discussion

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Overview

May support staged carotid stenting before CABG in select patients; leaves open need for randomized confirmation.

Structured PICO

What is the rate of death, stroke, or myocardial infarction in patients with coexisting carotid and coronary atherosclerosis undergoing planned carotid stenting followed by staged CABG?

P
Population
23 patients (17 males, 6 females) with coexisting carotid and coronary atherosclerotic disease scheduled to undergo staged percutaneous carotid stenting followed by coronary artery bypass grafting (CABG).
I
Intervention
Planned percutaneous carotid stenting followed by staged coronary artery bypass grafting (CABG)
O
Outcome
Composite rate of death, stroke, or myocardial infarctioncomposite

Planned carotid stenting followed by staged CABG is a viable treatment strategy for patients with coexistent carotid and coronary atherosclerosis, demonstrating an acceptable 10% composite rate of death, stroke, or MI.

Limitations

  • Single center
  • Retrospective design
  • Small sample size

Cite This Study

Kovacic et al. (2005) studied this question.

synapsesocial.com/papers/6a8a895afe45b30291c14820https://doi.org/10.1002/ccd.20487
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Also Consider

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  1. 1Beneficial Effect of Carotid Endarterectomy in Symptomatic Patients with High-Grade Carotid Stenosis1991 · 8,506 citations
  2. 2Elective stenting of carotid artery stenosis in patients with severe coronary artery disease1998 · 99 citations
  3. 3Medical Complications Associated With Carotid Endarterectomy1999 · 173 citations
  4. 4Interobserver agreement for the assessment of handicap in stroke patients.1989 · 720 citations
  5. 5ACC/AHA Guidelines for Coronary Artery Bypass Graft Surgery: Executive Summary and Recommendations1999 · 409 citations